CPT® Code 0306T | Case2Code

Official Description

Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report

Common Language Description

The CPT® Code 0306T refers to the in-person interrogation device evaluation of an intracardiac ischemia monitoring system, which includes a comprehensive analysis, review, and report of the device's performance. This procedure is essential for patients who may not exhibit typical warning signs of cardiac ischemia, such as chest pain, shortness of breath, nausea, or diaphoresis. The intracardiac ischemia monitoring system is designed to continuously measure ST segment changes in real time, providing critical alerts to patients when a potential cardiac ischemic event occurs. By utilizing this monitoring system, the time between the onset of ischemia and the patient's arrival at the emergency room can be significantly reduced, potentially improving outcomes. The system consists of several components, including a programmable implantable monitoring device (IMD), a right ventricular lead wire, a lead wire adapter, an external alarm device (EXD), and a programming unit. The IMD is capable of storing vital event information, which can be downloaded for further analysis by the treating physician. Regular evaluations of the device are necessary to ensure it is functioning correctly and capturing accurate data. The interrogation process involves downloading the stored data, conducting a thorough review, and generating a written report that summarizes the findings, which is crucial for ongoing patient management and care.

1. Indications

The procedure associated with CPT® Code 0306T is indicated for patients who require monitoring for cardiac ischemic events, particularly those who may not experience or recognize typical symptoms. The following conditions or situations warrant the use of this procedure:

Cardiac Ischemia Risk Patients at high risk for cardiac ischemia who may not exhibit classic symptoms.
Monitoring of Implantable Devices Individuals with an implanted intracardiac ischemia monitoring system that requires regular evaluation to ensure proper functioning.
Assessment of ST Segment Changes Patients needing real-time assessment of ST segment changes to detect potential ischemic events.

2. Procedure

The procedure for CPT® Code 0306T involves several critical steps to ensure a thorough evaluation of the intracardiac ischemia monitoring system:

Step 1: Patient Preparation The patient is prepared for the evaluation, which may include explaining the procedure and ensuring that the monitoring device is accessible for interrogation.
Step 2: Device Interrogation The healthcare provider uses an external programming device to interrogate the implanted monitoring system. This involves connecting the programming unit to the device to access stored data.
Step 3: Data Downloading The stored event data is downloaded from the implantable monitoring device. This data includes information on any detected ischemic events and the corresponding ST segment changes.
Step 4: Data Analysis and Review The downloaded data is thoroughly analyzed and reviewed by the healthcare provider. This step is crucial for interpreting the significance of the recorded events and determining the patient's current cardiac status.
Step 5: Report Generation A written report is generated that summarizes the findings from the interrogation. This report includes details of the analysis and any recommendations for further management or adjustments to the monitoring device.

3. Post-Procedure

After the interrogation procedure is completed, the patient may receive specific instructions based on the findings of the evaluation. It is essential to monitor the patient for any immediate reactions to the procedure and to ensure that the monitoring device continues to function correctly. Follow-up appointments may be scheduled to review the report and discuss any necessary adjustments to the device or further management strategies. Regular monitoring and evaluations are recommended to maintain optimal device performance and patient safety.

Short Descr	ICAR ISCHM MNTR INTERR EVAL
Medium Descr	INTERROGATION EVAL ICAR ISCHM MNTRNG SYS
Long Descr	Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	STV-Packaged Codes
Type of Service (TOS)	2 - Surgery
Berenson-Eggers TOS (BETOS)	P5C - Ambulatory procedures - groin hernia repair
MUE	Not applicable/unspecified.
CCS Clinical Classification	49 - Other OR heart procedures